People get fillers and injections for all sorts of cosmetic reasons, but you can also get injections in your penis. "I have so many patients who come in stressing about the size of their penis when, in reality, the relationship between size and sexual satisfaction is a myth. The average vagina length is 5 inches, which is less than average penis size in America, which is 5.5 inches. What most men don’t realize is that when it comes to sexual satisfaction, girth is more important than length. There are things men can do to enhance their girth but it won’t come in the form of pill, and although penis pumps can improve an erection, they don’t help with overall size. Also, penis exercises are not totally validated to increase size. Sorry guys! But, there are solutions,” says Dr. Muhammad Mirza, sexual men's health expert and founder of ErectileDoctor.com.
The FBI and the Federal Trade Commission both began sniffing around Berkeley and soon unearthed a set of shocking corporate practices. In 2001 and 2002, Berkeley customers were "were simply added to the [auto-ship] program at the time of the initial sale without any indication that they would be on the hook for additional charges," wrote one federal judge, summing up the evidence amassed against Warshak and his firm.
The “Rice Sock Technique” is the preferred warm-up of AJ “Big Al” Alfaro, my “Male Enhancement Coach” (i.e., dick enlargement tutor), who explicitly warns me NOT to skip this step. Some guys cut corners because they’re short on time, he explains, but warming up is essential when working out the penis because it prevents injuries and maximizes gains, as with any kind of exercise. I’m hoping to add an extra inch — to go from five and a half inches to six and a half inches, which Big Al assures me can be done in a matter of months so long as I follow his direction. We meet weekly via Skype to discuss my training regimen, and I receive occasional emails reminding me to update my training log. “The most difficult part of my job is getting men to comply with the Journal Progress Log,” he says sternly.
Then, in the back of a weightlifting magazine, he saw an ad for the FastSize Extender, a device that claims to make the penis longer and fatter through traction. Richard began wearing the device almost eight hours a day, every day. He was shocked to notice a difference within a few days. After four months of wearing the device, he says his flaccid penis has stretched from 3 inches to over 5 inches; erect, he has gone from less than 6 inches to over 7 inches. The device cost $298, but Richard says the effect on his self-confidence has been priceless: "It made a world of difference to me."
All this might be leading to more than simple image anxiety; some have pointed to a new mental-health issue they term penile dysmorphic disorder. “It is a minority of men – and we don’t know how many – but it certainly exists and it’s as damaging as any other body dysmorphia,” says Professor David Veale, of King’s College London, an authority on health anxieties. “These men might seek out surgery, and for a few months they will be happy with the results. But then the same anxieties reappear. So, they seek out further surgery. It becomes a circle. But you cannot keep making your penis bigger. This requires therapy.”
There are several surgical treatments, most of which carry a risk of significant complications. Procedures by unlicensed surgeons can lead to serious complications. Risky surgical treatments include subcutaneous fat injection, division of the suspensory ligament, and the injection of dermal fillers, silicone gel, or PMMA. The American Urological Association (AUA) and the Urology Care Foundation "consider subcutaneous fat injection for increasing penile girth to be a procedure which has not been shown to be safe or efficacious. The AUA also considers the division of the suspensory ligament of the penis for increasing penile length in adults to be a procedure which has not been shown to be safe or efficacious." Dermal fillers are also not approved by the US Food and Drug Administration (FDA) for use in the penis.
It's important to remember that male enhancement is a big industry which reinforces men's insecurities about the size of their penis. Penis enlargement pills do not work, and neither do creams, lotions, supplements or other male enhancement products. If there was an approved and effective treatment it would be available from pharmacies rather than illegitimate online pharmacies only.
In a last brief conversation with Alistair, he asks if I would ever consider going under the knife. I tell him I’ve seen such a bewildering array of shapes and sizes over the past few weeks, I don’t even know what normal is any more. If it does the job nature intended, I say, that should be enough. For many men wanting an enlargement, it’s probably not so much about what’s in their pants as what, somewhere along the way, has got into their minds – and that can’t be fixed by a fat injection and a severed ligament.